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Ocular Pigment Deposits: Drug-Induced False-Positives
M. L. Clark, MD;
E. A. Serafetinides, MD, PhD;
J. B. Wise, MD;
J. P. Colmore, MD
Norman, Okla
JAMA. 1970;214(13):2339.
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To the Editor.—
In a recent study involving antipsychotic drugs of various chemical structures, the apparent development of "drug-induced pigment deposits on the anterior lens" was noted in several subjects under all treatment conditions including placebo. Contrary to what is known concerning such pigment deposition under long-term, high-dose chlorpromazine hydrochloride therapy,1 this occurred relatively rapidly (three months) on modest doses of various medications including a thioxanthine and a butyrophenone. Although we were alerted to the possibility of false-positives by the occurrence of these findings in the placebo group it was, nevertheless, some time before a proper explanation came to light. This occurred when DeLong's reference2 to "axial punctuate opacities" came to the attention of the ophthalmologist carrying out the slit-lamp examinations in the study.
DeLong called attention to a benign condition in which small, punctate opacities occurred on the anterior lens capsules, often scattered sparsely into the anterior
. . . [Full Text PDF of this Article]
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